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Foot (Edinb). 2018 Mar;34:23-27. doi: 10.1016/j.foot.2017.09.004. Epub 2017 Sep 28.

A retrospective audit of lesion excision and rotation skin flap for the treatment of intractable plantar keratosis.

Author information

1
Department of Podiatric Surgery, Nottinghamshire Healthcare NHS Foundation Trust, Park House Health and Social Care Centre, 61 Burton Road, Carlton, Nottinghamshire NG3 4DQ, United Kingdom. Electronic address: Amir.saipoor@nottshc.nhs.uk.
2
Department of Podiatric Surgery, Nottinghamshire Healthcare NHS Foundation Trust, Park House Health and Social Care Centre, 61 Burton Road, Carlton, Nottinghamshire NG3 4DQ, United Kingdom.

Abstract

AIM:

The purpose of this study was to evaluate the treatment of plantar skin lesions by excision and rotation skin flap closure with reference to patient satisfaction; patient reported outcomes and complication rates.

METHOD:

A retrospective audit of 54 consecutive patients who had undergone plantar lesion excision with rotation skin flap between May 2011 and November 2015 under the care of experienced consultant podiatric surgeons. A total of 36 patients were included in this study, 16 were lost to follow up, 2 patients were excluded due to non-related pathology. Outcomes were reviewed retrospectively via data extracted from PASCOM-10. This included the MOXFQ and also the PSQ-10 patient satisfaction questionnaire. Data extracted was analysed.

RESULTS:

The mean MOXFQ scores improved across the three domains. Walking/standing improved from 68.75 (SD: 17.62) pre-operative to 41.38 (SD: 32.94) post-operative. Pain improved from 63.47 (SD: 19.41) pre-operative to 36.53 (SD: 25.51) post-operative and social interaction improved from 53.88 (SD: 20.33) pre-operative to 29.13 (SD: 26.56) post-operative. Similarly, the PSQ-10 scores have shown positive outcomes where 88.9% out of the cohort felt that their aims of surgery had been met.

CONCLUSION:

This audit has demonstrated that the Schrudde flap is an effective and alternative safe surgical procedure for the treatment of intractable plantar keratosis and viral warts.

KEYWORDS:

Foot; Intractable plantar keratosis; Painful plantar lesions; Rotation skin flap; Schrudde’s flap

PMID:
29202430
DOI:
10.1016/j.foot.2017.09.004
[Indexed for MEDLINE]

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